DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lara Cordova, Carlo	DOIID	937835	NAIC NPN	17493604

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/22/2016	1/31/2020
Inactive	Non Resident	Agent	Casualty	11/22/2016	1/31/2020
Active	Non Resident	Staff Adjuster	Property & Casualty	7/29/2020		1/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	11/23/2016	1/31/2020
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	11/23/2016	1/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Property	1/12/2017	12/19/2019
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	1/12/2017	12/19/2019